作者
Chip-Jin Ng, Zui-Shen Yen, Jeffrey Che-Hung Tsai, Li Chin Chen, Shou Ju Lin, Yiing Yiing Sang, Jih-Chang Chen, TTAS National Working Group
发表日期
2011/12/1
期刊
Emergency Medicine Journal
卷号
28
期号
12
页码范围
1026-1031
出版商
BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
简介
Objective
An ideal emergency department (ED) triage system accurately prioritises patients on the basis of the urgency of interventions required to avoid under- or over-triage. The objective of this study was to develop and validate a five-level Taiwan triage and acuity scale (TTAS) with an electronic decision support tool.
Methods
This prospective, multicentre, observational study included 10533 patients triaged at 11 academic medical centres, 18 regional and four district hospitals. Adult patients presenting to the ED were independently triaged by the duty triage nurse in the usual way and trained research nurses using TTAS with a computerised decision support system. Weighted κ statistics were used to assess the reproducibility. Hospitalisation, length of stay, and medical resource consumption were analysed by TTAS acuity levels.
Results
Most cases were stratified into levels 2 to 3 by the existing four-level triage …
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